优化护理流程在腹腔镜胃肠手术中的应用分析

Analysis of the application of optimized nursing procedures in laparoscopic gastrointestinal surgery

目的探讨胃肠疾病患者行腹腔镜手术治疗前后实施优化护理流程的临床效果。方法选取2017年1月~2018年3月我院普通外科的84例胃肠疾病患者,均接受腹腔镜手术治疗方案,以入院时间分为对照组和观察组,每组42例。对照组实施围术期护理,观察组则联合优化护理流程。对两组患者围术期观察指标进行比较,同时对比两组患者护理质量、护理满意度、术后并发症发生率及负性情绪改善情况。此外,对两组患者手术运行情况及护理人员手术器械准备情况进行对照分析。结果观察组患者手术用时及住院时间显著均短于对照组(P<0.05),术中出血量显著少于对照组(P<0.05),差异均有统计学意义(P<0.05);观察组患者护理质量、护理满意度评分均显著高于对照组(P<0.05),且负性情绪评分显著低于对照组(P<0.05),差异均有统计学意义(P<0.05);观察组患者术后并发症发生率显著低于对照组(P<0.05),手术执行良好率及护理人员手术器械备齐率显著高于对照组(P<0.05),差异均有统计学意义(P<0.05)。结论胃肠疾病患者胃腹腔镜手术期执行优化护理流程取得的护理效果明显优于常规护理,提示优化护理流程在该类患者护理中具有更高的推广价值。

Objective To explore the clinical effects of optimized nursing procedures before and after laparoscopic surgery in patients with gastrointestinal diseases.Methods From January 2017 to March 2018,84 patients with gastrointestinal diseases in our hospital underwent laparoscopic surgery were selected.The patients were divided into control group and observation group according to the admission time,42 patients in each group.The control group was given perioperative nursing,while the observation group was combined to optimize the nursing process.The perioperative observation indexes of the two groups were compared,and the nursing quality,nursing satisfaction,postoperative complication rate and negative emotion improvement of the two groups were compared.In addition,the two groups of patients with operation and nursing equipment preparation were compared and analyzed.Results The operation time and hospitalization time in the observation group were significantly shorter than those in the control group and the difference was statistically significant(P<0.05);and the intraoperative blood loss was significantly less than that in the control group,and the difference was statistically significant(P<0.05).The scores of nursing quality and satisfaction of patients in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05);and the scores of negative emotions were significantly lower than those in the control group(P<0.05),the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05);the rate of good operation and the rate of preparation of surgical instruments for nursing staff in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing effect of optimized nursing procedure performed during the laparoscopic surgery of patients with gastrointestinal diseases is significantly better than that of routine nursing care,indicating that the optimized nursing procedure has a higher promotion value in the nursing care of such patients.